Video index

1. Welcome, opening remarks, call to order, and roll call

2. Consideration of the February 10, 2022 and May 12, 2022, draft meeting minutes

3. Medicaid and Children’s Health Insurance Program (CHIP) activities update

4. Hospital Payment Advisory Committee (HPAC) update

5. A.I. Submitted to the Texas Register – Administrative Procedures Act public comment period has not closed : Individualized Skills and Socialization in the Deaf Blind with Multiple Disabilities Program Health and Human Services Commission (HHSC) proposes new §§260.501, concerning Defi nitions;260.503, concerning Description of Individualized Skills and Socialization; 260.505, concerningProvision of Individualized Skills and Socialization; 260.507, concerning Staffi ng Ratios; 260.509,concerning Discontinuation of Day Habilitation; 260.511, concerning Including Individualized Skillsand Socialization on an IPC; 260.513, concerning Service Provider Qualifi cations; 260.515,concerning Contracting to Provide Individualized Skills and Socialization; and 260.517, concerningProgram Provider Reimbursement for Individualized Skills and Socialization, in new Chapter 260,Subchapter I, Individualized Skills and Socialization. These rules will be published in the TexasRegister on August 12, 2022. The comment period will end on September 12, 2022.

5. A.II. Individualized Skills and Socialization in the Home and Community-based Services Program andTexas Home Living Program – Rule Proposal Health and Human Services Commission (HHSC) proposes new §§262.901, concerning Defi nitions;262.903, concerning Types of Individualized Skills and Socialization; 262.905, concerningDescription of On-Site and Off -Site Individualized Skills and Socialization; 262.907, concerningDescription of and Criteria for an Individual to Receive In-Home Individualized Skills andSocialization; 262.909, concerning Exceptions to Certain Requirements During Declaration ofDisaster; 262.911, concerning Provision of On-Site and Off -Site Individualized Skills andSocialization; 262.913, concerning Provision of In-Home Individualized Skills and Socialization;262.915, concerning Service Limit for On-Site, Off -Site, and In-Home Individualized Skills and Socialization; 262.917, concerning Staffi ng Ratios for Off -Site Individualized Skills and Socialization;262.919, concerning Discontinuation of Day Habilitation; 262.921, concerning Including On-Site,Off -Site, and In-Home Individualized Skills and Socialization on an IPC; 262.923, concerning ServiceProvider Qualifi cations for On-Site, Off -Site, and In-Home Individualized Skills and Socialization;262.925, concerning Program Provider Reimbursement for On-Site, Off -Site, and In-HomeIndividualized Skills and Socialization; and 262.927, concerning Enhanced Staffi ng Rate, in TexasAdministrative Code (TAC), new Chapter 262, Subchapter J, Individualized Skills and Socialization. These rules will be published in the Texas Register on August 12, 2022. The comment period will endon September 12, 2022.

5. A.III. LIDDA Service Coordination Qualifi cation The purpose of the amendment is to change minimum qualifi cations for service coordinators in§331.17. By expanding the hiring qualifi cations for service coordinators, local intellectual anddevelopmental disability authorities (LIDDAs) will have an increased pool of skilled applicants.These rules were published in the Texas Register on July 22, 2022 and the comment period ends on August 22, 2022.

5. A.IV. School Health and Related Services (SHARS) 504 Audiology Services and Parental Consent The proposed amendment will restate and clarify the federal requirement to obtain parental consentto access a student’s Medicaid in order to receive Medicaid reimbursement for all SHARS services.HHSC is also proposing language to align these rules with 1 TAC §355.8443, concerningReimbursement Methodology for School Health and Related Services (SHARS), and other clarifyinglanguage. These rules were published in the Texas Register on August 5, 2022 and the commentperiod ends on September 6, 2022.

5. B.I. Home and Community-based Services Program The proposal repeals §§9.151, 9.152, 9.154 - 9.170, 9.186, and 9.189 - 9.192 in Texas AdministrativeCode (TAC) Title 40, Part 1, Chapter 9, Subchapter D, relating to the Home and Community-basedServices (HCS) Program and proposes new rules in 26 TAC Chapter 263, relating to Home andCommunity-based Services and Community First Choice (CFC) Services. The purpose of the proposalis to move certain HCS Program rules from 40 TAC Chapter 9, Subchapter D to 26 TAC Chapter 263.

5. B.II.Texas Home Living (TxHmL) Update The proposal repeals §§9.551, 9.552, 9.554, 9.556, 9.558, 9.560 - 9.563, 9.566 - 9.568, 9.570, 9.571,9.573 – 9.575, 9.582, and 9.583 in Texas Administrative Code (TAC) Title 40, Part 1, Chapter 9,Subchapter N, relating to the Texas Home Living (TxHmL) Program and proposes new rules in 26TAC Chapter 262, relating to Texas Home Living (TxHmL) Program and Community First Choice(CFC). The purpose of the proposal is to move certain TxHmL Program rules from 40 TAC Chapter 9,Subchapter N to 26 TAC Chapter 262 and ensure that the TxHmL Program complies with therequirements in Title 42, Code of Federal Regulations (CFR), Chapter IV, Subchapter C, Part 441,Subpart G, §441.301(c)(1) - (5).

5. B.III. Transition Assistance Services The purpose of the proposed amendments is to replace the reference to the Department of Aging and Disability Services (DADS) with the Texas Health and Human Services Commission (HHSC), revise references to program rules and make minor editorial changes for clarity.

7. Proposed next meeting: November 10, 2022, at 9:00 a.m.

Aug 11, 2022 Medical Care Advisory Committee

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1. Welcome, opening remarks, call to order, and roll call

2. Consideration of the February 10, 2022 and May 12, 2022, draft meeting minutes

3. Medicaid and Children’s Health Insurance Program (CHIP) activities update

4. Hospital Payment Advisory Committee (HPAC) update

5. A.I. Submitted to the Texas Register – Administrative Procedures Act public comment period has not closed : Individualized Skills and Socialization in the Deaf Blind with Multiple Disabilities Program Health and Human Services Commission (HHSC) proposes new §§260.501, concerning Defi nitions;260.503, concerning Description of Individualized Skills and Socialization; 260.505, concerningProvision of Individualized Skills and Socialization; 260.507, concerning Staffi ng Ratios; 260.509,concerning Discontinuation of Day Habilitation; 260.511, concerning Including Individualized Skillsand Socialization on an IPC; 260.513, concerning Service Provider Qualifi cations; 260.515,concerning Contracting to Provide Individualized Skills and Socialization; and 260.517, concerningProgram Provider Reimbursement for Individualized Skills and Socialization, in new Chapter 260,Subchapter I, Individualized Skills and Socialization. These rules will be published in the TexasRegister on August 12, 2022. The comment period will end on September 12, 2022.

5. A.II. Individualized Skills and Socialization in the Home and Community-based Services Program andTexas Home Living Program – Rule Proposal Health and Human Services Commission (HHSC) proposes new §§262.901, concerning Defi nitions;262.903, concerning Types of Individualized Skills and Socialization; 262.905, concerningDescription of On-Site and Off -Site Individualized Skills and Socialization; 262.907, concerningDescription of and Criteria for an Individual to Receive In-Home Individualized Skills andSocialization; 262.909, concerning Exceptions to Certain Requirements During Declaration ofDisaster; 262.911, concerning Provision of On-Site and Off -Site Individualized Skills andSocialization; 262.913, concerning Provision of In-Home Individualized Skills and Socialization;262.915, concerning Service Limit for On-Site, Off -Site, and In-Home Individualized Skills and Socialization; 262.917, concerning Staffi ng Ratios for Off -Site Individualized Skills and Socialization;262.919, concerning Discontinuation of Day Habilitation; 262.921, concerning Including On-Site,Off -Site, and In-Home Individualized Skills and Socialization on an IPC; 262.923, concerning ServiceProvider Qualifi cations for On-Site, Off -Site, and In-Home Individualized Skills and Socialization;262.925, concerning Program Provider Reimbursement for On-Site, Off -Site, and In-HomeIndividualized Skills and Socialization; and 262.927, concerning Enhanced Staffi ng Rate, in TexasAdministrative Code (TAC), new Chapter 262, Subchapter J, Individualized Skills and Socialization. These rules will be published in the Texas Register on August 12, 2022. The comment period will endon September 12, 2022.

5. A.III. LIDDA Service Coordination Qualifi cation The purpose of the amendment is to change minimum qualifi cations for service coordinators in§331.17. By expanding the hiring qualifi cations for service coordinators, local intellectual anddevelopmental disability authorities (LIDDAs) will have an increased pool of skilled applicants.These rules were published in the Texas Register on July 22, 2022 and the comment period ends on August 22, 2022.

5. A.IV. School Health and Related Services (SHARS) 504 Audiology Services and Parental Consent The proposed amendment will restate and clarify the federal requirement to obtain parental consentto access a student’s Medicaid in order to receive Medicaid reimbursement for all SHARS services.HHSC is also proposing language to align these rules with 1 TAC §355.8443, concerningReimbursement Methodology for School Health and Related Services (SHARS), and other clarifyinglanguage. These rules were published in the Texas Register on August 5, 2022 and the commentperiod ends on September 6, 2022.

5. B.I. Home and Community-based Services Program The proposal repeals §§9.151, 9.152, 9.154 - 9.170, 9.186, and 9.189 - 9.192 in Texas AdministrativeCode (TAC) Title 40, Part 1, Chapter 9, Subchapter D, relating to the Home and Community-basedServices (HCS) Program and proposes new rules in 26 TAC Chapter 263, relating to Home andCommunity-based Services and Community First Choice (CFC) Services. The purpose of the proposalis to move certain HCS Program rules from 40 TAC Chapter 9, Subchapter D to 26 TAC Chapter 263.

5. B.II.Texas Home Living (TxHmL) Update The proposal repeals §§9.551, 9.552, 9.554, 9.556, 9.558, 9.560 - 9.563, 9.566 - 9.568, 9.570, 9.571,9.573 – 9.575, 9.582, and 9.583 in Texas Administrative Code (TAC) Title 40, Part 1, Chapter 9,Subchapter N, relating to the Texas Home Living (TxHmL) Program and proposes new rules in 26TAC Chapter 262, relating to Texas Home Living (TxHmL) Program and Community First Choice(CFC). The purpose of the proposal is to move certain TxHmL Program rules from 40 TAC Chapter 9,Subchapter N to 26 TAC Chapter 262 and ensure that the TxHmL Program complies with therequirements in Title 42, Code of Federal Regulations (CFR), Chapter IV, Subchapter C, Part 441,Subpart G, §441.301(c)(1) - (5).

5. B.III. Transition Assistance Services The purpose of the proposed amendments is to replace the reference to the Department of Aging and Disability Services (DADS) with the Texas Health and Human Services Commission (HHSC), revise references to program rules and make minor editorial changes for clarity.

7. Proposed next meeting: November 10, 2022, at 9:00 a.m.

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